Cleveland Urologic Surgery, Pa

LBN: Cleveland Urologic Surgery, Pa
Cleveland Urologic Surgery, Pa is an health care organization with primary practice located at 1001 N Washington St , Shelby NC 28150-1800. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Cleveland Urologic Surgery, Pa can be contacted via phone (704) 482-2011, or through Blackley, Shem K via phone (704) 482-2011.

Contact Information

Primary practice address
1001 N Washington St Shelby NC 28150-1800
Phone: (704) 482-2011
Fax: (704) 484-0303
Website:
Map and Directions
Authorized official contact:
Name: Blackley, Shem K Doctor of Medicine (MD)
Phone: (704) 482-2011

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X

Profile Details

NPI number 1326153677
LBN Legal business name Cleveland Urologic Surgery, Pa
DBA Doing business as
Authorized official Blackley, Shem K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 19th, 2006
Last updated Jan 27th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326153677 NPPES
North Carolina Other 230126 MEDICARE PTAN

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